JEREMY PAUL QUEBODEAUX

LAKE CHARLES, LA
NPI1871063834
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-12-03
Last Update Date2018-12-03
Business Address
JEREMY PAUL QUEBODEAUX CIT
145 VICTORIA DR
LAKE CHARLES, LA 70611-4641
Phone number: 337-855-9773
Mailing Address
JEREMY PAUL QUEBODEAUX CIT
145 VICTORIA DR
LAKE CHARLES, LA 70611-4641
Phone number: 337-855-9773